FORM 1023-EZ for NORRIS YOUTH BASKETBALL

Field Data
EIN 81-3803745
Case Number EO-2017107-000312
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORRIS YOUTH BASKETBALL
Organization’s Mailing Address 25211 SOUTH 68TH STREET
City FIRTH
State NE
ZIP 68358
Accounting period End 12
Primary contact name COLLEEN MEDILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHAD OTTO
PRESIDENT
17370 S 38TH STREET
ROCA NE 68430

Officer/Director/Trustee Two

TOM OERTER
TREASURER
708 MAPLE COURT
HICKMAN NE 68372

Officer/Director/Trustee Three

MARCUS BOESIGER
VICE-PRESIDENT
7430 TANNER LANE
ROCA NE 68430

Officer/Director/Trustee Four

MATT ZAJICEK
VICE-PRESIDENT
1004 RIDGE ROAD
HICKMAN NE 68372

Officer/Director/Trustee Five

COLLEEN MEDILL
SECRETARY
7501 KARL DRIVE
LINCOLN NE 68430

Organization’s website HTTPS://NORRISYOUTHBASKETBALL.SPORTNGIN.COM/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/29/2016
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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